| Mrs Raeleen Nicole Davis, MA, LPC | |
|
7640 Dixie Hwy Ste 155, Clarkston, MI 48346-2095 | |
| (248) 791-9266 | |
| (248) 392-2601 |
| Full Name | Mrs Raeleen Nicole Davis |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 7640 Dixie Hwy Ste 155, Clarkston, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730555459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014995 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovations By Gomes Incorporated | 0446613665 | 2 |
| Entity Name | Innovations By Gomes Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881389906 PECOS PAC ID: 0446613665 Enrollment ID: O20230905003299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Raeleen Nicole Davis, MA, LPC 4095 Bold Mdws, Oakland Township, MI 48306-1488 Ph: (248) 805-1312 | Mrs Raeleen Nicole Davis, MA, LPC 7640 Dixie Hwy Ste 155, Clarkston, MI 48346-2095 Ph: (248) 791-9266 |
Scott A Hall, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5869 Dixie Hwy, Clarkston, MI 48346 Phone: 248-909-1869 Fax: 248-605-8599 | |
Mackenzie Michael Crandall, LLPC, MA, TLLP Counselor Medicare: May Accept Medicare Assignments Practice Location: 5980 S Main St Ste 101, Clarkston, MI 48346 Phone: 248-625-2970 | |
Nicole Harty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7640 Dixie Hwy Ste 155, Clarkston, MI 48346 Phone: 248-791-9266 | |
Mrs. Rebecca Sue Walker, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9220 Sashabaw Rd, Clarkston, MI 48348 Phone: 810-348-4853 | |
Allison Ann Irving, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6851 Clintonville Rd, Clarkston, MI 48348 Phone: 313-268-4276 | |
Ms. Kaura H. Africa, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970 | |
Ms. Marie Anna Megahan, M.A. IN COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 8062 Ortonville Rd, Clarkston, MI 48348 Phone: 248-625-2970 |